Active NPI
Matthew Lawrence Stampe, LAC
- Acupuncturist
- Alexandria, VA
National Provider Identifier
1861950446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000941
- Practice address
- 3343 Duke St
Alexandria, VA 22314-5219 - Phone
- (703) 259-9193
- NPI assigned
- Mar 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019006078 | VA | |
| Acupuncturist | 171100000X | 0121000941 | VA | Primary |
| Acupuncturist | 171100000X | AC500315 | DC | |
| Acupuncturist | 171100000X | U02615 | MD |
Addresses
Primary practice location
3343 Duke St
Alexandria, VA 22314-5219
Mailing address
7008 Catlett St
Springfield, VA 22151-3901
Phone (703) 776-0630
Other practice location 1
9401 Mathy Dr
Fairfax, VA 22031-5310
Phone (703) 776-0630
Other practice location 2
150 S Washington St Ste 301
Falls Church, VA 22046-2921
Phone (571) 327-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC500315 | DC | MD | Acupuncturist |
| U02615 | MD | MD | Acupuncturist |
| 0121000941 | VA | MD | Acupuncturist |
| 0019006078 | VA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guan Yuan PLLC | Current | Accepting new patients | |
| Avit Systems Inc | Acupuncturist | Current | Accepting new patients |
| Palmercare Chiropractic Falls Church LLC | Past | Accepting new patients |
Locations
3343 Duke St
Alexandria, VA 22314
Phone (202) 821-7323
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Springfield, VA
- NPI 1265046700
-
- Acupuncturist
- Alexandria, VA
- NPI 1437789393
-
- Chiropractor
- Falls Church, VA
- NPI 1326582479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1861950446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 CATLETT ST",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221513901",
"telephone_number": "703-776-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3343 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145219",
"telephone_number": "703-259-9193"
}
],
"practiceLocations": [
{
"address_1": "9401 Mathy Dr",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220315310",
"country_code": "US",
"telephone_number": "703-776-0630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 S Washington St Ste 301",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220462921",
"country_code": "US",
"telephone_number": "571-327-2213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STAMPE",
"first_name": "MATTHEW",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019006078",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000941",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC500315",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02615",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.